Abstract
Aims: Definitive therapy of bladder cancer involves cystectomy or radiotherapy; controversy exists regarding optimal management. Here we describe the management and outcomes of patients treated in routine practice. Materials and methods: Treatment records were linked to the Ontario Cancer Registry to identify all cases of bladder cancer in Ontario treated with cystectomy or radiotherapy in 1994-2008. Practice patterns are described in three study periods: 1994-1998, 1999-2003, 2004-2008. Logistic regression, Cox model and propensity score analyses were used to evaluate factors associated with treatment choice and survival. Results: In total, 3879 cases (74%) underwent cystectomy and 1380 (26%) were treated with primary radiotherapy. Cystectomy use increased over time (66, 75, 78%), whereas radiotherapy decreased (34, 25, 22%), P
Original language | English (US) |
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Pages (from-to) | 506-514 |
Number of pages | 9 |
Journal | Clinical Oncology |
Volume | 26 |
Issue number | 8 |
DOIs | |
State | Published - 2014 |
Externally published | Yes |
Keywords
- Bladder cancer
- Cystectomy
- Health services
- Outcomes
- Quality of care
- Radiation
ASJC Scopus subject areas
- Oncology
- Radiology Nuclear Medicine and imaging
- Medicine(all)